Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | A7000 | LA |
NPI | 1053569723 |
---|---|
Provider Name | Christopher Scaffin |
First Address | Baton Rouge, LA 70808-3040 |
Second Address | Baton Rouge, LA 70808-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2008 |
Last Update Date | 05/09/2008 |